ANALYSIS OF THE STRUCTURE AND TREND OF GYNECOLOGICAL MORBIDITY IN THE ADULT FEMALE POPULATION OF THE BELGOROD REGION

Objective. To study the structure and trend of gynecological morbidity in the adult female population of the Belgorod Region in 1997 to 2008. Material and methods. The official records of the obstetric-gynecological service of the Belgorod Region’s Department for Health Care and Social Protection of the Population over 1997—2008 (12 years) were analyzed. Results. There was an increase in overall gynecological morbidity from 13391.35 in 1997 to 17714.83 in 2008 (p<0.001), with the mean value being 154361.27. Its structure showed the highest proportion of complications occurring during pregnancy, labor, and postpartum (40.1%), other diseases (16.9%), salpingitis and oophoritis (8.9%), uterine leiomyoma (6.3%), and menstrual irregularities (6.1%). There was a significant increase in the prevalence of 5 of the 14 considered gynecological diseases in 2003—2008 compared to 1997-2002. There were lower prevalence rates of endometriosis, menstrual irregularities, uterine cervical erosions and ectropion, female infertility, and menopausal and other perimenopausal disorders in the Belgorod Region than the average rates in Russia. The rates of salpingitis and oophoritis were significantly higher than those in Russia. Conclusion. There was a 132% increase in overall gynecological morbidity in the adult population of the Belgorod Region over 12 years (1997—2008). A significant change was found in the structure of gynecological morbidity in 2003—2008 as compared to 1997—2002.

structure, gynecological morbidity, Belgorod Region